Mytoia Moss-Lewis, PROGRAM DIRECTOR

NPI 1710074299 · on the registry since 2006 · sole proprietor

Practice

Address: 13206 Indigo Creek Ln
Pearland, TX 77584
Phone: (713) 436-7612
Fax: (713) 436-7610
Organisation at this address: Emerald Blue Health Care Services,Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 171W00000X
171W00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas